MEDICARE: DR. EMILEE BAILEY-OFFILL D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	03790	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144512815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILEE BAILEY-OFFILL D.O.

Provider Business Mailing Address
First Line	:	245 FOUNTAIN COURT
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509
Country	:	US
Telephone Number	:	859-323-6021
Fax Number	:	859-323-1670

Provider Business Practice Location Address
First Line	:	805 ALEXA DR STE D
Second Line	:
City	:	MT STERLING
State	:	KY
Zip	:	40353-1000
Country	:	US
Telephone Number	:	859-432-8002
Fax Number	:	859-432-8483

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2011
Last Update Date	:	11/08/2019

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